| NPI | 1134101348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES J JOHNSON RN Owner/Director Of Nursing 323-753-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: CA 970000032) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2016-03-31 |